About: Ventral hernia patient outcomes postoperatively housed on surgical vs non-surgical units

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About: Ventral hernia patient outcomes postoperatively housed on surgical vs non-surgical units Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Ventral hernia patient outcomes postoperatively housed on surgical vs non-surgical units
Creator	Daniel, · John, · Bittner, Elizabeth Davenport, L Hussain Siddiqi, · Nisiewicz, Michael Plymale, Margaret Roth, Scott Ueland, ·
topic	covid:ef9462c708c689d287f138048cd69e6834e9f49c#this
Source	PMC
abstract	BACKGROUND: Inpatient hospital units vary in staffing ratios, monitoring, procedural abilities, and experience with unique patients and diagnoses. The purpose of this study is to assess the impact of patient cohorting upon ventral hernia repair outcomes. METHODS: An IRB-approved retrospective review of open ventral hernia repairs between August 2013 and July 2017 was performed. The information of all patient locations during hospitalization, time at location, post-anesthesia care unit duration (PACU), and intensive care unit (ICU) duration was collected. Patient demographics, comorbidities, operative details, cost, and patient outcomes were analyzed. Multivariable analysis of log length of stay (LOS) was assessed with adjustment for clinical and operative factors. RESULTS: 235 patients underwent open ventral hernia repair. 179 patients were admitted to surgical units, 33 non-surgical units, and 23 stayed on both units. Clinical characteristics including patient age, gender, BMI, and medical comorbidities were similar between patients boarded on surgical versus non-surgical units. Hernia, wound, and operative data were also statistically similar. Patients admitted to non-surgical units for any duration experienced longer hospital stay (4 vs. 6 days, p < 0.001). Patients housed on a non-surgical unit were more likely to transfer rooms than patients on surgical units, 42.9% vs. 10.1% (p < 0.001), respectively. Multivariable analysis of natural log-transformed LOS showed any stay on a non-surgical unit increased LOS by 1.0 days (95% Cl 0.9–1.2 days, p = 0.026). There were no differences in ICU or PACU stay, cost, or postoperative complications in patients housed on surgical versus non-surgical units. CONCLUSIONS: Postoperative surgical patients had an increased length of stay when admitted to non-surgical units. More frequent room transfers occurred in patients admitted to non-surgical units. Evaluation of patient outcomes and LOS in open ventral hernia repair patients based on hospital unit is unique to this study.
has issue date	2020-07-27(xsd:dateTime)
bibo:doi	10.1007/s00464-020-07829-5
has license	no-cc
sha1sum (hex)	ef9462c708c689d287f138048cd69e6834e9f49c
schema:url	https://doi.org/10.1007/s00464-020-07829-5
resource representing a document's title	Ventral hernia patient outcomes postoperatively housed on surgical vs non-surgical units
has PubMed Central identifier	PMC7384391
schema:publication	Surg Endosc
resource representing a document's body	covid:ef9462c708c689d287f138048cd69e6834e9f49c#body_text
is http://vocab.deri.ie/void#inDataset of	proxy:http/ns.inria.fr/covid19/ef9462c708c689d287f138048cd69e6834e9f49c
is schema:about of	named entity 'length' named entity 'ventral' named entity 'cost' named entity 'intensive care unit (ICU)' named entity 'post-anesthesia care unit' named entity 'Patients' named entity 'The' named entity 'units' named entity 'factors' named entity 'The' named entity 'operative' named entity 'vary' named entity 'impact' named entity 'DAYS' named entity 'POST' named entity 'DATA' named entity 'COST' named entity 'SURGICAL' named entity 'UNIQUE' named entity 'EVALUATION' named entity 'POSTOPERATIVE COMPLICATIONS' named entity '0.9' named entity 'INTENSIVE CARE UNIT' named entity 'OPEN' named entity 'PATIENT DEMOGRAPHICS' named entity 'COMORBIDITIES' named entity 'JULY' named entity 'BACKGROUND' named entity 'HOSPITAL UNITS' named entity 'ASSESS' named entity 'ABILITIES' named entity 'HOUSED' named entity '42.9' named entity 'CARE UNIT' covid:arg/ef9462c708c689d287f138048cd69e6834e9f49c named entity 'unique' named entity 'patients' named entity 'cost' named entity 'repair' named entity 'unit' named entity 'patients' named entity 'hospital' named entity 'stay' named entity 'stay' named entity 'log-transformed' named entity 'hospital' named entity 'unique' named entity 'medical' named entity 'age' named entity 'retrospective review' named entity 'PACU' named entity 'Hernia' named entity 'LOS' named entity 'complications' named entity 'experienced' named entity 'abilities' named entity 'LOS' named entity 'intensive care unit' named entity 'length of stay' named entity 'LOS' named entity 'hernia repair' named entity 'ventral hernia' named entity 'comorbidities' named entity 'LOS' named entity '1.2' named entity 'patient outcomes' named entity 'Multivariable analysis' named entity 'retrospective review' named entity 'hernia repair' named entity 'ICU' named entity 'cohorting' named entity 'Clinical characteristics' named entity 'cohorting'

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